Agradecida x la invitación a presentar en el Summit Uro-Oncología. Fue un privilegio compartir nuestra experiencia y aprender de presentaciones de altísimo nivel. Motivador ver que el trabajo que estamos haciendo en Chile está plenamente a la altura de la discusión internacional.
1/Big week for Renaissance: LDRT-MIND just cleared IRB review and approval.
So I can finally talk about what we're doing, which is treating Alzheimer's disease with a new style of low dose radiotherapy.
🧵
10 Must-Read Posts in GU Oncology This Week | Third Week of June
This week’s selection covers:
• HDR brachytherapy + SBRT in prostate cancer
• INDIBLADE in MIBC
• HER2 in urothelial carcinoma
• ADT resistance in prostate cancer
• EV + pembrolizumab in KN905/EV-303
• DFS as a surrogate endpoint in MIBC
• SAKK 06/19 with intravesical BCG + chemo-IO
• RCC with IVC tumor thrombus
• Capivasertib + abiraterone FDA approval
• Ultra-hypofractionated postoperative RT in prostate cancer
@Buchser@agomeziturriaga@LZC_MD@drenriquegrande@Renate_Pichler@josedsh@Pietro9609@modragon_@mohitmanrao
Read more on OncoDaily -> https://t.co/kTFDl8l9Kh
#GUOncology #OncoDaily
New publication 🤗
Acute toxicity and quality of life after ultra-hypofractionated postoperative radiotherapy for prostate cancer patients.
A retrospective analysis from our institution and the basis for ongoing prospective follow-up.
https://t.co/D2TDUdBokf
#RadOnc
🚨 PROTEUS: perioperative apalutamide moves into high-risk localized #prostatecancer
Just out in @NEJM
🧬 2109 men w/ high-risk localized or locally advanced PCa randomized to ADT + apalutamide vs ADT + placebo around radical prostatectomy.
🎯 Both stated primary endpoints met.
⚠️ But the trial deserves nuance. Thread 🧵
#ASCO26 @ASCO@PCF_Science
Had an amazing time at #SOCHIRAXIX in Huilo Huilo.
Beautiful setting, great discussions, and even better people.
Grateful for the opportunity to present and be part of it.
Grateful for the inspiring week @SochiraCl XIX congresso in 🇨🇱. Discussing medical innovation and learning the Cumbia. @hletelier and @clau_carvajal_ taking hospitality to a new level. @ESTRO_RT should explore collaboration with @Solar_Latam! Hasta la proxima! 🏔️🩺
Big news: the Anatomy and Radiology Contouring Bootcamp is now FREE!
🧵🧵🧵with photos of your attendings when they were residents...
https://t.co/6NhnSx46eR
Here is a video on management of 4 common lower GI radiotherapy toxicities:
1. Radiation dermatitis
2. Diarrhea
3. Acute RT proctitis
4. Late/chronic RT proctitis
Hope it is helpful!
Full video (16 min) & slides 🧵 thread below. 1/X
A Paradigm Shift in Osteoarthritis Treatment?
This may be the most consequential osteoarthritis study in over a decade.
But it hasn’t been talked about.
A landmark 10-year randomized controlled trial from Russia, discussed personally with the authors by myself and Dr. Richard Shaffer, has shown that low-dose orthovoltage radiotherapy (LDRT) may do more than relieve symptoms:
It may actually slow or halt structural progression of knee OA.
The results are staggering:
🌠 Only 3% of patients treated with LDRT progressed ≥2 KL grades over 10 years, compared to 36.1% in the control group.
🌠 Synovial inflammation, a known risk factor for progression, had no effect in those receiving LDRT, suggesting a powerful anti-inflammatory and disease-modifying mechanism.
This isn't just pain relief.
This is joint preservation.
If validated, these findings could alter the treatment landscape, not just for radiation oncologists, but for orthopedic surgeons and rheumatologists as well. LDRT could become the first therapy capable of changing the natural history of osteoarthritis.
But let’s temper our enthusiasm:
This is a single-institution study. The excitement is real, but so is the need for replication in large-scale, multi-center trials.
📝 I’ve written an editorial breaking down the study, the implications, and why this could represent a turning point for how we think about OA. 👇
https://t.co/17O5M9jRMA
Duration of Androgen Suppression with Postoperative Radiotherapy (DADSPORT) for Nonmetastatic Prostate Cancer: A Collaborative Systematic Review and Meta-analysis of Aggregate Data
https://t.co/WWqOHsaC0P
This systematic review and meta-analysis by the DADSPORT Collaboration evaluated the impact of hormone therapy (HT) added to postoperative radiotherapy (RT) in nonmetastatic #ProstateCancer across five randomized controlled trials involving 4,411 participants. While HT did not significantly improve overall survival (OS) in the general population, it did show meaningful benefits in metastasis-free survival (MFS) and prostate cancer–specific survival (PCSS), each with a 4% absolute improvement at 8 years.
Notably, OS benefits may be limited to patients with higher pre-RT PSA levels or CAPRA-S scores.
These findings support the use of adjuvant HT to improve cancer outcomes, particularly in higher-risk patients.
@DrSpratticus@AmarUKishan@drjefstathiou@PCaParker@_APollack@PaulSargos@felixfengmd@OncoAlert@Silke_Gillessen@AOmlin@nataliagandur@bavilima
My 2025 ASTRO GU #radonc spring refresher presentation (+ hidden slides) is available online
https://t.co/64zwmGDBTx
#Refresher25
Rated 5/5 ⭐️⭐️⭐️⭐️⭐️
Send your feedback via QR code or https://t.co/xzQBUxMfXm
📢 STORM trial breaking results at #ESTRO25!
🧪 MDT vs ENRT+MDT for nodal oligorecurrent PCa.
🧬 ENRT+MDT:
✅ Superior bRFS (57% vs 41%, p=0.014)
✅ Superior pelvic control (lrRFS 85% vs 62%, p=0.006)
✅ Superior MFS (76% vs 63%, p=0.06)
❌ No increase in ≥G2 GU/GI toxicity
For incoming residents, here are my fav #RadOnc resources that have made learning efficient/enjoyable in residency! #MedEd
❔ @RadOncQuestions
🔥 Rad Onc Review
📕 Red Book
✍️ @eContourRadOnc
🎥 ASTRO Refreshers
🎙️ @AtTheBeam (shameless plug)
“Exportación de pacientes” - Publicamos carta en @ElMercurio_cl manifestando nuestra preocupación por la derivación de pacientes al extranjero para tratamientos de radioterapia.
Las políticas públicas en salud requiere de la participación de los especialistas del área.
@AyudaBancoChile Tengo problemas para comprar online en una tienda de EEUU. Intente usar tarjeta vía paypal y también falló. Tengo cupo suficiente en la tarjeta. Algún problema con las compras internacionales? Tampoco me deja pagar la pequeña deuda internacional q tengo.